Organization Active NPI

Center for Rehabilitation Technology Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Galesburg, IL
National Provider Identifier
1669695227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CENTER FOR REHABILITATION TECHNOLOGY INC
Practice address
64 S Prairie St
218 Weinberg Arcade
Galesburg, IL 61401-4642
Phone
(309) 342-6156
Fax
(309) 342-3714
NPI assigned
Apr 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lou Ann Smith
Title
President
Phone
(309) 342-6156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

64 S Prairie St
218 Weinberg Arcade
Galesburg, IL 61401-4642

Mailing address

64 S Prairie St
218 Weinberg Arcade
Galesburg, IL 61401-4642
Phone (309) 342-6156

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669695227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 S PRAIRIE ST",
            "address_2": "218 WEINBERG ARCADE",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014642",
            "telephone_number": "309-342-6156",
            "fax_number": "309-342-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S PRAIRIE ST",
            "address_2": "218 WEINBERG ARCADE",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014642",
            "telephone_number": "309-342-6156",
            "fax_number": "309-342-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR REHABILITATION TECHNOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LOU ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-342-6156",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.